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Lesson 284: PreAnesthetic
Assessment of the Patient With Cornelia de Lange Syndrome |
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Course Authors:
Veronica Washington, MD, MPH, Intern, Louisiana State
University School of Medicine, New Orleans, Louisiana
Alan D. Kaye, MD, PhD, DABPMb, Professor and chairman,
Department of Anesthesiology, Louisiana State University School of
Medicine, New Orleans, Louisiana
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Registration Fee: $15.00
2.0 AMA PRA Category 1 CreditsTM
available until February 28, 2011
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Reviewed By:
Elizabeth A.M. Frost, MD, Professor of
anesthesiology, Mount Sinai School of Medicine, New York, New York
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Review Date: October, 2009
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REGISTRATION INFORMATION:
Participants who do not possess a copy of Anesthesiology News
can download and print the course material in an easy to read
convenient format. Participants must reflect on the information
presented, and then register to complete the exam and course evaluation
online before the availability date listed above. (CME credit is not valid past this
date).
Click on the link below to download and print the course material
and post-test exam.
Register for the exam to enter your responses to receive CME credit. There are ten questions in the examination and you must achieve
a score of 80% or better to earn CME credit. Following successful
completion, your certificate will be immediately available online.
In addition, a historical record of completed CME courses is
maintained online in an individualized profile. This includes
copies of course certificates which can be printed at any time.
The registration fee for this course is $15.00
Physicians are provided with two opportunities to successfully complete the
exam presented here.
Software Requirements: Adobe Acrobat Reader and any standard
Internet Browser.
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NEEDS STATEMENT
Committee opinion and audience surveys have identified the need
to present, from time to time, rarely encountered diseases for which
there are anesthetic implications.
CASE HISTORY
A 9-month-old girl weighing 14 kg with
longstanding gastroesophageal reflux disease was scheduled for
surgery for Nissen fundoplication. She was diagnosed with CdLS, and
recently had a cardiac evaluation that did not reveal any
abnormalities. All laboratory test results were within normal
limits.
LEARNING OBJECTIVES
At the end of this activity, the participant should be able to:
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Recognize and describe the clinical
features of Cornelia de Lange syndrome (CdLS).
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List the major causes of mortality
in patients with CdLS.
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Discuss the treatment of CdLS.
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Outline the current theory of CdLS
pathogenesis.
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Explain the importance of a
preoperative evaluation of these patients.
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Identify appropriate treatment of
cardiac anomalies.
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Describe appropriate anesthetic
management of hypoxia and hypercapnia.
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Discuss difficulties in managing the
airway of the patient with CdLS.
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List anesthetics that are
contraindicated for the patient with CdLS.
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Identify drugs recommended for
inducing anesthesia in the patient with CdLS.
TARGET AUDIENCE: Anesthesiologists
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Accreditation Statement
Mount Sinai School of Medicine is accredited by the Accreditation
Council for Continuing Medical Education (ACCME) to provide continuing
medical education for physicians.
Credit Designation: The Mount Sinai School of Medicine designates
each educational activity for a maximum of 2 AMA PRA Category 1 CreditsTM.
Physicians should only claim credit commensurate with the extent of
their participation in the activity.
It is the policy of Mount Sinai School of Medicine to ensure objectivity,
balance, independence, and scientific rigor in all CME-sponsored educational
activities. All faculty participating in the planning or implementation
of a sponsored activity are expected to disclose to the audience any
relevant financial relationships and to assist in resolving any conflict
of interest that may arise from the relationship. Presenters must
also make a meaningful disclosure to the audience of their discussions
of unlabeled or unapproved drugs or devices.
Disclosures
Dr. Kaye has disclosed that he is a member of the speakers’
bureau of Baxter. The other author, reviewer, and editor have no
relationships with pharmaceuti-cal companies or manufacturers of
products to disclose. This educational activity may contain
discussion of published and/or investigational uses of agents
for the treatment of disease. Some uses of these agents have not
been approved by the FDA. Please refer to the official
prescribing information for each product for approved
indications, contraindications, and warnings.
CONTACT INFORMATION
Questions regarding course content may be directed to Dr. Elizabeth
Frost: ElzFrost@aol.com.
If you require technical assistance with completing this
course, please contact Continuing Education Online Customer Service
at 718-648-8080 or send e-mail to
ceo.contact7@proceo.com.
CALL FOR WRITERS
If you would like to write a CME lesson in Anesthesiology News,
please send an e-mail to Elizabeth A.M. Frost, MD, at
ElzFrost@aol.com
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